Organization
PROVIDENCE HEALTH SYSTEM WASHINGTON
Active
Other names
Providence Centralia Hospital PT
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECREATRY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 736-2803
Mailing address
914 S SCHEUBER RD, CENTRALIA, WA 98531-9027
(360) 736-2803
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
602399531
WA
Other
Enumeration date
08/14/2007
Last updated
05/05/2025
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